Get Online Medical Report Maker 2020-2026

The Online Medical Report Maker provides a structured format for submitting essential medical information required for military enlistment and fitness evaluations. This guide will walk you through each section of the form, ensuring you provide accurate and comprehensive details.

Follow the steps to successfully complete the Online Medical Report Maker.

1. Click ‘Get Form’ button to obtain the form and open it in your preferred digital format.
2. Enter the date of examination in the specified format (YYYYMMDD). This field is crucial for proper documentation.
3. Provide your social security number. This helps in identifying your records correctly.
4. Fill in your last name, first name, middle name, and suffix as applicable. Accuracy in personal information is essential.
5. Enter your home address, including street name, apartment number (if applicable), city, state, and ZIP code.
6. Indicate your current grade or rank, which is important for military classification.
7. Complete your age and date of birth fields using the same format (YYYYMMDD).
8. Select your sex from the available options.
9. Input your home telephone number, ensuring to include the area code.
10. Indicate your race, selecting the appropriate category as guided.
11. Provide the total years of government service you have completed.
12. For non-service members, indicate the agency you are associated with.
13. Identify your organization unit and the UIC/code as required.
14. Aviators will need to fill out their rating or specialty and total flying time accurately.
15. Select the service and component you belong to, such as Army or Navy, along with the purpose of the examination.
16. Provide the name and address of the examining location, including ZIP code.
17. Carefully check each clinical evaluation item and fill in the appropriate boxes; enter 'NE' for items not evaluated.
18. If there are any abnormalities noted during the examination, detail them in the notes section, referencing the pertinent item numbers.
19. Complete the laboratory findings section, ensuring all tests conducted are documented accurately.
20. Fill in measurements and other findings, including height, weight, and vital signs.
21. Complete the signature field, confirming your understanding of the examination results and qualifications.
22. Finally, review the form for accuracy and completeness before submitting it online.
23. You can choose to save changes, download, print, or share the form based on your needs.

Complete your Online Medical Report Maker and ensure your data is submitted accurately.